Does the reduction of inferior turbinate affect lower airway functions?
Introduction: Although the nose and lungs are separate organs, numerous studies have reported that the entire respiratory system can be considered as a single anatomical and functional unit. The upper and lower airways affect each other either directly or through reflex mechanisms. Objective: In thi...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2019-01-01
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| Series: | Brazilian Journal of Otorhinolaryngology |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S180886941730188X |
| _version_ | 1819177157454200832 |
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| author | Ozlem Unsal Mehtap Ozkahraman Mufide Arzu Ozkarafakili Meltem Akpinar Arzu Yasemin Korkut Senem Kurt Dizdar Berna Uslu Coskun |
| author_facet | Ozlem Unsal Mehtap Ozkahraman Mufide Arzu Ozkarafakili Meltem Akpinar Arzu Yasemin Korkut Senem Kurt Dizdar Berna Uslu Coskun |
| author_sort | Ozlem Unsal |
| collection | DOAJ |
| description | Introduction: Although the nose and lungs are separate organs, numerous studies have reported that the entire respiratory system can be considered as a single anatomical and functional unit. The upper and lower airways affect each other either directly or through reflex mechanisms. Objective: In this study, we aimed to evaluate the effects of the radiofrequency ablation of persistent inferior turbinate hypertrophy on nasal and pulmonary function. Methods: Twenty-seven patients with bilateral persistent inferior turbinate hypertrophy without septal deviation were included in this study. All of the patients were evaluated using anterior rhinoscopy, nasal endoscopy, acoustic rhinometry, a visual analogue scale, and flow-sensitive spirometry on the day before and 4 months after the radiofrequency ablation procedure. Results: The post-ablation measurements revealed that the inferior turbinate ablation caused an increase in the mean cross-sectional area and volume of the nose, as well as in the forced expiratory volume in 1 s, forced vital capacity, and peak expiratory flow of the patients. These differences between the pre- and post-ablation results were statistically significant. The post-ablation visual analogue scale scores were lower when compared with the pre-ablation scores, and this difference was also statistically significant. Conclusion: This study demonstrated that the widening of the nasal passage after the reduction of the inferior turbinate size had a favorable effect on the pulmonary function tests. Resumo: Introdução: Embora o nariz e os pulmões sejam órgãos separados, numerosos estudos relataram que todo o sistema respiratório pode ser considerado como uma única unidade anatômica e funcional. As vias aéreas superiores e inferiores afetam uma à outra diretamente ou através de mecanismos reflexos. Objetivo: Avaliar os efeitos da ablação por radiofrequência em conchas nasais inferiores com hipertrofia persistente sobre a função nasal e pulmonar. Método: Foram incluídos neste estudo 27 pacientes com hipertrofia persistente bilateral de conchas inferiores sem desvio septal. Todos os pacientes foram avaliados com rinoscopia anterior, endoscopia nasal, rinometria acústica, escala visual analógica e espirometria sensível ao fluxo no dia anterior e quatro meses após o procedimento de ablação por radiofrequência. Resultados: As medidas pós-ablação demonstraram que a ablação das conchas nasais inferiores resultou em um aumento da área transversal média e do volume do nariz, bem como do volume expiratório forçado em um segundo, da capacidade vital forçada e do fluxo expiratório máximo dos pacientes. Essas diferenças entre os resultados pré e pós-ablação foram estatisticamente significantes. Os escores da escala visual analógica pós-ablação foram menores quando comparados com os escores pré-ablação e essa diferença também foi estatisticamente significante. Conclusão: O alargamento da passagem nasal após a redução do tamanho das conchas nasais inferiores teve efeito favorável nos testes de função pulmonar. Keywords: Acoustic rhinometry, Turbinates, Hypertrophy, Spirometry, Respiratory system, Palavras-chave: Rinometria acústica, Conchas nasais, Hipertrofia, Espirometria, Sistema respiratório |
| first_indexed | 2024-12-22T21:22:12Z |
| format | Article |
| id | doaj.art-9c34979c715f4ac7a6bad9beb5d900bb |
| institution | Directory Open Access Journal |
| issn | 1808-8694 |
| language | English |
| last_indexed | 2024-12-22T21:22:12Z |
| publishDate | 2019-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Otorhinolaryngology |
| spelling | doaj.art-9c34979c715f4ac7a6bad9beb5d900bb2022-12-21T18:12:10ZengElsevierBrazilian Journal of Otorhinolaryngology1808-86942019-01-018514349Does the reduction of inferior turbinate affect lower airway functions?Ozlem Unsal0Mehtap Ozkahraman1Mufide Arzu Ozkarafakili2Meltem Akpinar3Arzu Yasemin Korkut4Senem Kurt Dizdar5Berna Uslu Coskun6Sisli Hamidiye Etfal Training and Research Hospital, Clinic of Otorhinolaryngology, Istanbul, Turkey; Corresponding author.Sisli Hamidiye Etfal Training and Research Hospital, Clinic of Otorhinolaryngology, Istanbul, TurkeySisli Hamidiye Etfal Training and Research Hospital, Clinic of Pulmonary Diseases, Istanbul, TurkeySisli Hamidiye Etfal Training and Research Hospital, Clinic of Otorhinolaryngology, Istanbul, TurkeySisli Hamidiye Etfal Training and Research Hospital, Clinic of Otorhinolaryngology, Istanbul, TurkeySisli Hamidiye Etfal Training and Research Hospital, Clinic of Otorhinolaryngology, Istanbul, TurkeySisli Hamidiye Etfal Training and Research Hospital, Clinic of Otorhinolaryngology, Istanbul, TurkeyIntroduction: Although the nose and lungs are separate organs, numerous studies have reported that the entire respiratory system can be considered as a single anatomical and functional unit. The upper and lower airways affect each other either directly or through reflex mechanisms. Objective: In this study, we aimed to evaluate the effects of the radiofrequency ablation of persistent inferior turbinate hypertrophy on nasal and pulmonary function. Methods: Twenty-seven patients with bilateral persistent inferior turbinate hypertrophy without septal deviation were included in this study. All of the patients were evaluated using anterior rhinoscopy, nasal endoscopy, acoustic rhinometry, a visual analogue scale, and flow-sensitive spirometry on the day before and 4 months after the radiofrequency ablation procedure. Results: The post-ablation measurements revealed that the inferior turbinate ablation caused an increase in the mean cross-sectional area and volume of the nose, as well as in the forced expiratory volume in 1 s, forced vital capacity, and peak expiratory flow of the patients. These differences between the pre- and post-ablation results were statistically significant. The post-ablation visual analogue scale scores were lower when compared with the pre-ablation scores, and this difference was also statistically significant. Conclusion: This study demonstrated that the widening of the nasal passage after the reduction of the inferior turbinate size had a favorable effect on the pulmonary function tests. Resumo: Introdução: Embora o nariz e os pulmões sejam órgãos separados, numerosos estudos relataram que todo o sistema respiratório pode ser considerado como uma única unidade anatômica e funcional. As vias aéreas superiores e inferiores afetam uma à outra diretamente ou através de mecanismos reflexos. Objetivo: Avaliar os efeitos da ablação por radiofrequência em conchas nasais inferiores com hipertrofia persistente sobre a função nasal e pulmonar. Método: Foram incluídos neste estudo 27 pacientes com hipertrofia persistente bilateral de conchas inferiores sem desvio septal. Todos os pacientes foram avaliados com rinoscopia anterior, endoscopia nasal, rinometria acústica, escala visual analógica e espirometria sensível ao fluxo no dia anterior e quatro meses após o procedimento de ablação por radiofrequência. Resultados: As medidas pós-ablação demonstraram que a ablação das conchas nasais inferiores resultou em um aumento da área transversal média e do volume do nariz, bem como do volume expiratório forçado em um segundo, da capacidade vital forçada e do fluxo expiratório máximo dos pacientes. Essas diferenças entre os resultados pré e pós-ablação foram estatisticamente significantes. Os escores da escala visual analógica pós-ablação foram menores quando comparados com os escores pré-ablação e essa diferença também foi estatisticamente significante. Conclusão: O alargamento da passagem nasal após a redução do tamanho das conchas nasais inferiores teve efeito favorável nos testes de função pulmonar. Keywords: Acoustic rhinometry, Turbinates, Hypertrophy, Spirometry, Respiratory system, Palavras-chave: Rinometria acústica, Conchas nasais, Hipertrofia, Espirometria, Sistema respiratóriohttp://www.sciencedirect.com/science/article/pii/S180886941730188X |
| spellingShingle | Ozlem Unsal Mehtap Ozkahraman Mufide Arzu Ozkarafakili Meltem Akpinar Arzu Yasemin Korkut Senem Kurt Dizdar Berna Uslu Coskun Does the reduction of inferior turbinate affect lower airway functions? Brazilian Journal of Otorhinolaryngology |
| title | Does the reduction of inferior turbinate affect lower airway functions? |
| title_full | Does the reduction of inferior turbinate affect lower airway functions? |
| title_fullStr | Does the reduction of inferior turbinate affect lower airway functions? |
| title_full_unstemmed | Does the reduction of inferior turbinate affect lower airway functions? |
| title_short | Does the reduction of inferior turbinate affect lower airway functions? |
| title_sort | does the reduction of inferior turbinate affect lower airway functions |
| url | http://www.sciencedirect.com/science/article/pii/S180886941730188X |
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